Ardath Stout, LCSW is a
Social Worker - Clinical based in Tillamook, Oregon. Ardath Stout is licensed to practice in Oregon (license number L3837) and her current practice location is
906 Main Ave, Tillamook, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 842-8201.
NPI number for Ardath Stout is 1508996794 and her current mailing address is 21385 Trask River Rd, Tillamook, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508996794.
Healthcare Provider's Profile
| Full Name | Ardath Stout |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 906 Main Ave, Tillamook, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1508996794
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ardath Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508996794 | NPI | - | NPPES |
| 197749 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | L3837 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ardath Stout is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ardath Stout, LCSW
21385 Trask River Rd,
Tillamook, OR 97141-8965
Ph: (503) 842-8201 | Ardath Stout, LCSW
906 Main Ave,
Tillamook, OR 97141-3816
Ph: (503) 842-8201 |
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